Pre-eclampsia: The Enigmatic Killer of Mothers Worldwide In the global effort to safeguard maternal health, scientists are faced with a formidable opponent: pre-eclampsia. This pregnancy complication, characterized by high blood pressure and often a significant amount of protein in the urine, contributes to more than 70,000 maternal deaths annually. Despite extensive research and clinical efforts to understand and manage the condition, pre-eclampsia remains an enigma, resisting straightforward explanations and solutions. Pre-eclampsia typically arises in the latter half of pregnancy and can progress rapidly, endangering the lives of both mother and child. Symptoms may include severe headaches, vision problems, abdominal pain, and sudden weight gain due to fluid retention. However, the condition can also be asymptomatic, making routine prenatal check-ups critical for its early detection. The danger of pre-eclampsia lies not only in its potential to cause severe complications such as eclampsia (which involves seizures), HELLP syndrome (which is characterized by hemolysis, elevated liver enzymes, and low platelet count), and organ failure but also in its ability to compromise placental function, jeopardizing fetal health. In severe cases, the only definitive treatment is the delivery of the baby, regardless of gestational age, placing premature infants at risk of numerous health challenges. The quest to unravel the mysteries of pre-eclampsia has led scientists down various research paths. Initially, theories focused on issues related to the placenta,
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